| Clinical spectrum of ventricular tachycardia with left bundle branch morphology. | |
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MedLine Citation:
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PMID: 6849249 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Twenty-nine patients with apparent ventricular tachycardia (VT) of left bundle branch block (LBBB) morphology were evaluated. Tachycardia was associated with an organic basis in 24 of 29 patients: 7 had Mahaim fibers of the nodoventricular type, 7 had arrhythmogenic right ventricular dysplasia, 5 had coronary heart disease, 3 had biventricular cardiomyopathy, and 2 had associated congenital heart disease. In many patients the underlying cardiac disease was not readily apparent. In the patients with a Mahaim fiber, the electrocardiogram taken during sinus rhythm was frequently normal. A reentry tachycardia with anterograde conduction over the nodoventricular fiber could mimic VT as diagnosed by the usual criteria; nodoventricular fibers were, therefore, often unsuspected before electrophysiologic evaluation. In patients with arrhythmogenic right ventricular dysplasia, cineangiography demonstrated abnormalities of the right ventricle, but only minor or no abnormalities of the left ventricle. Clinical and electrocardiographic features were not distinctive. Of the 29 patients, 22 had serious symptoms accompanying the tachyarrhythmia or had required cardioversion. Patients were followed up for an average of 20 months: 4 patients died. Thus, VT exhibiting an LBBB morphology is not uncommon and is frequently associated with organic heart disease, serious symptoms, and significant mortality. Right ventricular angiography and electrophysiologic study may clarify the diagnosis in these patients. |
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Authors:
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M J Reiter; W M Smith; J J Gallagher |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of cardiology Volume: 51 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1983 Jan |
Date Detail:
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Created Date: 1983-02-14 Completed Date: 1983-02-14 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 113-21 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Bundle-Branch Block / diagnosis* Cardiomyopathies / complications, diagnosis Child, Preschool Coronary Disease / complications, diagnosis Diagnosis, Differential Electrophysiology Female Heart Defects, Congenital / complications, diagnosis Heart Ventricles / abnormalities, physiopathology, radionuclide imaging Humans Male Middle Aged Recurrence Tachycardia / diagnosis*, etiology, radiography |
| Grant Support | |
ID/Acronym/Agency:
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HL-070101/HL/NHLBI NIH HHS; HL-15190/HL/NHLBI NIH HHS; RR-30/RR/NCRR NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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